Active NPI
Crossroads Systems
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
National Provider Identifier
1811325301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- CROSSROADS SYSTEMS
- Doing business as
- CROSSROADS RECOVERY SERVICES
- Practice address
- 1364 S High St
Columbus, OH 43207-1042 - Phone
- (614) 445-0352
- Fax
- (614) 445-0121
- NPI assigned
- Oct 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Shaun Jesse
- Title
- Ceo
- Phone
- (614) 445-0352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1364 S High St
Columbus, OH 43207-1042
Mailing address
1364 S High St
Columbus, OH 43207-1042
Phone (614) 445-0352
Other names 1
- CROSSROADS RECOVERY SERVICES
National Provider Directory
National Provider DirectoryLocations
1364 S High St
Columbus, OH 43207
Phone (614) 445-0352
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Columbus, OH
- NPI 1306277637
Addiction (Substance Use Disorder)
-
- Clinical Social Worker
- Orient, OH
- NPI 1417195538
-
- Diagnostic Radiology Physician
- Henderson, KY
- NPI 1720378789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382400000000",
"number": "1811325301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 S HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432071042",
"telephone_number": "614-445-0352",
"fax_number": "614-445-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 S HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432071042",
"telephone_number": "614-445-0352",
"fax_number": "614-445-0121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-22",
"last_updated": "2013-10-22",
"status": "A",
"authorized_official_last_name": "JESSE",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "SHAUN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-445-0352"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CROSSROADS RECOVERY SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.